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Tuesday, June 6, 2023

Joint Mobilization: Local Vibration Techniques

Brent Brookbush

Brent Brookbush

DPT, PT, MS, CPT, HMS, IMT

Yang J, Lee B, Kim C. Changes in proprioception and pain in patients with neck pain after upper thoracic manipulation. J Phys Ther Sci. 2015;27(3):795-8.

Yang et al. demonstrated that instrument-assisted spinal manipulation resulted in widespread decrease in pain pressure threshold and a decrease in local muscle activity in asymptomatic indviduals (126).

  • Conclusions The application of instrument-assisted SMT resulted in an immediate and widespread hypoalgesic effect with local muscle relaxation  in asymptomatic participants. It is hypothesized that therapeutic mechanisms, either segmental or central, may be involved in the therapeutic effects  of instrument-assisted SMT.

Keller, T. S., Colloca, C. J., Moore, R. J., Gunzburg, R., & Harrison, D. E. (2006). Increased multiaxial lumbar motion responses during multiple-impulse mechanical force manually assisted spinal manipulation. Chiropractic & osteopathy14(1), 6.

  • impulsive-type instrument device
  • A hand-held electromechanical chiropractic adjusting instrument (Impulse)

Joint Mobilization: Local Vibration Techniques

Mobilization with Local Vibration

Spine Mobilization with Local Vibration (8:37)

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Sternocostal Mobilization (6:17)

Transverse Tarsal Joint Mobilization (4:26)

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